Gupta, Vivek Kumar
Gupta, Vivek Kumar is an individual health care provider with primary practice located at 6002 Professional Parkway Suite 100, Douglasville GA 30134. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Gupta, Vivek Kumar can be contacted via phone (770) 949-4200.Contact Information
Primary practice address
6002 Professional Parkway Suite 100
Douglasville GA 30134
Phone: (770) 949-4200
Fax: (770) 949-5553
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 052734 | Georgia |
Profile Details
| NPI number | 1881612133 |
|---|---|
| LBN Legal business name | Gupta, Vivek Kumar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Jul 14th, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881612133 | NPPES |
| Other | P00107542 | RAILROAD MEDICARE | |
| MEDICAID | 003379537A | RAILROAD MEDICARE | |
| Other | 072044 | RAILROAD MEDICARE | |
| Other | 7157520 | RAILROAD MEDICARE | |
| MEDICAID | 003379537B | RAILROAD MEDICARE | |
| Other | 323384 | RAILROAD MEDICARE | |
| Other | 5418507001 | RAILROAD MEDICARE | |
| Other | 7157520 | RAILROAD MEDICARE |
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